alexa An Evaluation of the Reaching Every District (RED) to Reach Every Child (REC) Immunisation Strategy in Mberengwa District, Midlands Province 2007-2010
ISSN: 2157-7560

Journal of Vaccines & Vaccination
Open Access

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Research Article

An Evaluation of the Reaching Every District (RED) to Reach Every Child (REC) Immunisation Strategy in Mberengwa District, Midlands Province 2007-2010

Muchekeza M1*, Chimusoro A2, Nomagugu Ncube1 and Kufakwanguzvarova W Pomerai2

1Department of Community Medicine, University of Zimbabwe, Zimbabwe

2Provincial Medical Director, Midlands province, Ministry of Health and Child Welfare, Harare, Zimbabwe

*Corresponding Author:
Muchekeza M
Department of Community Medicine
University of Zimbabwe, Zimbabwe
Tel: 263-4-303211
E-mail: [email protected] or [email protected]

Received Date: February 10 2014;; Accepted Date: May 21 2014; Published Date: May 24 2014

Citation: Muchekeza M, Chimusoro A, Ncube N, Pomerai KW (2014) An Evaluation of the Reaching Every District (RED) to Reach Every Child (REC) Immunisation Strategy in Mberengwa District, Midlands Province 2007-2010. J Vaccines Vaccin 5:235. doi: 10.4172/2157-7560.1000235

Copyright: © 2014 Muchekeza M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Introduction: The immunisation program for Mberengwa district has been experiencing a decline in coverage and high dropout rates despite it having adopted the Reaching Every District strategy in 2004. This study investigates reasons for this program failure. Methods and Materials: The Logic Model Conceptual Framework was used to evaluate the program. Data were collected using questionnaires from health workers, key informants and a separate questionnaire used to collect data from mothers of children under five years old. Focus group discussions were conducted with women in the community. A checklist was used to assess program resource availability. Data were analysed using EPI info statistical software. Qualitative data were analysed thematically Results: Forty six health workers and 56 mothers were interviewed. Ten health workers had been trained in Reaching Every District. Less than half knew the tool that is used to monitor program progress. None of the health centres had zoned catchment area maps for offering the different EPI services. Program resources were reported to be inadequate. None of the facilities were conducting regular EPI meetings with the community. Main barriers to immunisation were religious objectors, unavailability of vaccines and unavailability of outreach services Discussion: Resources put into the program were inadequate. Health workers were not conversant with the operations of the strategy. Community involvement in the program was poor .Efforts to improve program performance should be aimed at training health workers in Reaching Every District, revitalising strong links with the community and re-establishing Expanded Program on Immunisation outreach services.

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